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WCU FINAL EXAM REVIEW (NURS 100)
Questions with Correct Verified Answers/ Latest Update 2024/ Rated A+
Pre interaction, orientation, working, resolution (termination) - ANS - The phases of communication between the nurse and a patient
Reinteraction - ANS - Phase of nurse/ patient interaction which happens prior to meeting patient, gathering information about them (name, DOB
Orientation - ANS - When the nurse and the patient meet, get to know each other, and learn to trust each other, nurse introducing themselves to patient
Working - ANS - When the nurse and the patient work together to solve problems and accomplish goals
Resolution (termination) - ANS - End of the nurse-client relationship
What is the #1 way to prevent the spread of infections? - ANS - Hand Hygiene
Most infections which happen in the health care facility are due to - ANS - Healthcare workers hands
What does the nonspecific innate immune defense system do? - ANS - it keeps infections out of the body 1 / 4
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What does the nonspecific innate defense system consist of? - ANS - Skin, hair, nails, mucous membranes
What is the action of the specific adaptive defense system? - ANS - it finds the pathogens that got into the body through the nonspecific defenses
There are a number of ways to stop the chain of infection, describe some of them. - ANS - Sanitation, disinfection, sterilization, handwashing, isolating, pep, medical asepsis technique, sterile asepsis technique, cover wounds, keep skin intact, immunizations, diet and exercise, reduce stress
Isolation precautions - ANS - Used when a patient who is at high risk for acquiring microorganisms from either the environment or from other patients, staff, or visitors
What are some airborne precautions? - ANS - N-95 mask, private rooms, negative air flow pressure
What are some droplet precautions? - ANS - Use gown, gloves, and mask, wash hands upon entering and leaving room, patient needs a surgical mask when leaving the room
What are some contact enteric precautions? - ANS - No sanitizer, only wash hands with soap and water, use bleach to clean equipment, gloves and gowns are required
A patient who has diarrhea will be put on what precautions? - ANS - Contact enteric precautions
A patient with tuberculosis will be put on what precautions? - ANS - Airborne precautions
A patient with bacterial meningitis will be put on what precautions? - ANS - Droplet precaution 2 / 4
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What is the correct sequence for putting on PPE? - ANS - 1) Gown 2) Mask 3) Goggles 4) Gloves
What is the correct sequence for taking off PPE? - ANS - 1) Gloves 2) Goggles 3) Gown 4) Mask
What is the normal vital sign range for temperature? - ANS - 96.8 F-100.4 F
To avoid blood pressure errors, the nurse should - ANS - Inflate the cuff to 30mmHg above the point at which the palpated brachial pulse disappears
How long should a nurse wait to take a temperature after a patient has had something to drink - ANS - 20-30 min
Signs and symptoms of phlebitis at an IV site - ANS - Erythema, tenderness, drainage, hard palpable cord
Immunocompromised - ANS - When a person has a low number of neutrophils in their immune system, they become
Incubation stage of infection - ANS - Virus is entering the body and first symptoms are showing
Prodromal stage of infection - ANS - During this stage the person is most infectious and symptoms are becoming more specific; pathogen is multiplying 3 / 4
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Illness stage of infection - ANS - Signs and symptoms are occurring
Convalescence stage of infection - ANS - Recovery
Urinary tract infections, surgical site infections, blood stream infections, and pneumonia- ventilated associated infections are mostly acquired where? - ANS - Hospital
What kinds of patients are at risk for infection? - ANS - -
➢ The immunocompromised ➢ -People that go into crowded environments ➢ -Older adults
➢ -Patients with poor lifestyle choices: unprotected sex, drug users
➢ -People with poor hygiene ➢ -People recently exposed to a virus
A systemic infection is known to affect the whole body, what are some clinical manifestations of this? – ANS ➢ -Fever ➢ -Chills ➢ -Tachypnea ➢ -Tachycardia ➢ -Malaise ➢ -Fatigue ➢ -Nausea, vomiting, diarrhea ➢ -Abdominal cramps ➢ -Enlarged lymph nodes
A local infection confined to a particular part of the body is indicated by what manifestations? - ANS - - ➢ Erythema ➢ -Warmth ➢ -Edema ➢ -Pain at site
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